Excellent — below is a fully expanded, New York–specific, CLIA-referenced, insurance & cash-pay customized HIPAA Notice of Privacy Practices, followed by a separate Genetic Testing Informed Consent Form for your DNA laboratory.

This is formatted cleanly for print layout (ready to convert into PDF with letterhead).

Bio Energy & DNA Diagnostic Testing Laboratory Center
1039 Washington Ave
Bronx, NY 10456
Phone: (833) 912 - 3998
Email: dpo@errtechnology.com
Effective Date: February 20, 2026

Energy Renewal Revolutionized UNLTD, LLC (“ERR UNLTD,” “we,” “our,” or “us”) is a diagnostic laboratory operating in compliance with:

• The Health Insurance Portability and Accountability Act of 1996 (HIPAA)
• The HIPAA Privacy, Security, and Breach Notification Rules (45 CFR Parts 160 & 164)
• New York State Public Health Law Article 27-F
• New York Civil Rights Law §79-l (Genetic Testing Confidentiality)
• The Clinical Laboratory Improvement Amendments (CLIA) (42 CFR Part 493)

We are required by law to:

• Maintain the privacy and security of your Protected Health Information (PHI)
• Protect the confidentiality of genetic testing results under New York law
• Provide this Notice explaining our legal duties
• Notify you if a breach of unsecured PHI occurs

We follow the terms of this Notice currently in effect and reserve the right to revise it.

Under New York Civil Rights Law §79-l and applicable federal law:

• Genetic test results are confidential.
• We cannot disclose your genetic testing information without your written authorization, except as specifically permitted by law.
• Genetic information cannot be disclosed to employers or insurers without proper written consent, except as allowed by law.
• Genetic discrimination is prohibited under federal law (GINA) and New York law.

Your DNA test results will only be released to:

• You
• Your authorized healthcare provider
• Parties you authorize in writing
• As otherwise required by law

Energy Renewal Revolutionized UNLTD, LLC operates in accordance with the Clinical Laboratory Improvement Amendments (CLIA), which regulate laboratory testing and ensure quality standards for accuracy, reliability, and timeliness of patient test results.

Under CLIA regulations:

• You have the right to request copies of your completed laboratory test reports.
• Results will only be released in compliance with HIPAA and New York State law.
• Laboratory quality assurance and regulatory audits may require limited disclosure to accrediting or oversight agencies.

We may use and disclose your PHI without additional authorization for:

To physicians or healthcare providers involved in your care.

We may disclose necessary information to:

• Insurance companies
• Medicare/Medicaid
• Third-party payers
• Billing processors

This may include diagnosis codes, test information, and demographic data necessary for reimbursement.

We will not submit claims to insurers unless you request us to do so in writing.
You may request that we restrict disclosure to your health plan if you have paid in full out-of-pocket for a service, and we will honor that request as required by law.

Including:

• Quality improvement
• Licensing and accreditation
• Staff training
• Compliance audits
• Fraud and abuse detection

We may disclose PHI:

• To public health authorities
• To prevent or control disease
• For FDA-regulated product reporting
• As required by state reporting laws

We may disclose PHI in response to:

• Court orders
• Subpoenas
• Lawful investigations
• As required by state or federal law

Genetic or diagnostic information may be used for research only if:

• You provide written authorization, OR
• An Institutional Review Board (IRB) approves the use in compliance with law

We may share PHI with business associates (e.g., IT vendors, billing companies) who are legally obligated to safeguard your information.

We will obtain your written authorization for:

• Marketing communications
• Sale of PHI
• Disclosure of genetic information beyond treatment/payment/operations
• Any use not described in this Notice

You may revoke authorization in writing at any time.

You have the right to:

✔ Inspect and obtain a copy of your laboratory results
✔ Request correction or amendment of your records
✔ Receive an accounting of certain disclosures
✔ Request restrictions on certain disclosures
✔ Request confidential communications
✔ Receive a paper copy of this Notice

Requests must be made in writing to our Privacy Officer.

If your unsecured PHI or genetic information is compromised, we will notify you in accordance with HIPAA and New York State breach notification laws.

If you believe your privacy rights have been violated, you may file a complaint with:

Privacy Officer
Energy Renewal Revolutionized UNLTD, LLC
1039 Washington Ave
Bronx, NY 10456
Phone: (833) 912 - 3998
Email: dpo@errtechnology.com

Or with:

U.S. Department of Health and Human Services
Office for Civil Rights
200 Independence Avenue, S.W.
Washington, D.C. 20201
1-877-696-6775
www.hhs.gov/ocr/privacy/hipaa/complaints/

You will not be retaliated against for filing a complaint.